Junior Clinical Fellow in Acute Medicine

Job responsibilities

Post take/Outliers responsibilities

You will predominantly be working with the post take/ Acute Medicine outliers team who are responsible for patients in their first 24 hours of their hospital journey.

You will be responsible (alongside other resident doctors) for clinical management and treatment including managing acutely unwell patients and discharging patients. You will be supervised at all times by an Acute Medicine consultant dedicated to this cohort of patients.

You will have a strong skillset in communication both interprofessional and with patients and their families.

You will have a good understanding of patient safety and clinical risk and escalate any concerns in an appropriate manner.

You will be well organized in your clinical work and handover and be able to prioritise effectively.

You will be able to recognize the deteriorating patient and initiate emergency management, and escalate effectively. You will be enthusiastic about learning new procedures and skills and be able to manage uncertainty with confidence.

You will work as part of the wider Acute Medicine team who comprise of 10 consultants and 25-30 resident doctors who work across several clinical areas: Acute Medicine wards, Same day emergency care (SDEC), the Acute Medicine /GIM take and post take. Your work will be mainly focused on the post take cohort but you may have the opportunity to work in the other areas depending on your training interests and career focus.

Acute Medicine ward (AAU)

This is a 34-bed unit based across two adjacent wards (Mary Seacole North and Mary Seacole South). This is staffed on a daily basis by 2 Consultants, a registrar, 2-4 SHOs and 2-3 FY1s with daily Consultant led ward rounds.

Wider AMU staffing includes a dedicated and highly trained nursing, physiotherapy, occupational therapy and MDT team, a frailty team, pharmacy and a full complement of support staff.

There are full cardiac monitoring facilities and isolation facilities, and patients may receive non-invasive ventilatory support on the AAU as well as chest drains, management of level 0 and level 1 patients and a close working relationship with the intensive care, cardiology, respiratory and gastroenterology teams who all in reach to AAU regularly.

Ambulatory Emergency Care (AEC)

The award-winning Ambulatory Emergency Care Unit is staffed by a dedicated team of senior and junior doctors and Advanced Clinical Practitioners who see acutely unwell patients, in an outpatient same day emergency care (SDEC) setting, providing an alternative to admission for many patients.

The ambulatory care unit has a dedicated Consultant and Senior Nurse who supervise the diagnosis, management and treatment of patients on the unit and provide teaching and support for the many procedures (chest drains, ascitic drains, lumbar punctures, infusions and diagnostic imaging) which take place there.

Acute Medical Take

This is staffed by 1 SpR, 2 SHOs and 1 FY1. There is an average intake of 30 patients over 24 hours. During the day, there is a continuous consultant post take ward round providing the opportunity for immediate feedback and learning. Overnight, Consultant advice is available by telephone, and patients are reviewed on the morning post take ward round.

GMC status

Essential

• Full Registration with the GMC with license to practice

Qualifications

Essential

• MBBS or equivalent medical qualification Currently valid ALS

Desirable

• MRCP any part

Experience

Essential

• Completed 1 year of Foundation 1 training including at least 2 months in an Acute Medicine department or 4 months of any general medical speciality including General Medical on calls.
• Minimum of 4 months UK experience in Acute and Emergency Medicine

Desirable

• Demonstrates leadership skills

Management skills

Essential

• Demonstrate a flexible, intelligent, analytical approach to problem solving Possesses good organisational skills

Desirable

• Demonstrates leadership skills

Personal Attributes

Essential

• Possesses good communication skills
• Committed to teaching and training
• Has personal insight into own strengths and weaknesses
• Demonstrates ability to adjust to new environment and demands
• Has ability to work on own initiative
• Works well with colleagues at all levels
• Has ability to contribute to the development of the Trust and it's services
• Has ability to make sound and appropriate decisions
• Maintaining good medical practice
• Good relationships and communication with patients and colleagues
• Probity and integrity

Other

Essential

• Physically able to undertake the duties of the post with reasonable adjustments where required

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).